Organization · Type 2 NPI
Staten Island Lithotripsy LLC
Ambulatory Surgical Clinic/Center · Staten Island, NY
NPI number
1457539561
Active
Practice location
1324 Forest Ave, #228
Staten Island, NY 10302-2028
Fax (520) 547-1865
Mailing address
6339 E Speedway Blvd, Suite 201
Tucson, AZ 85710-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1457539561
Staten Island Lithotripsy LLC's National Provider Identifier is 1457539561, issued on Jan 31, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Staten Island, NY. The record was last updated on Oct 1, 2008.